14-00000

104-10120-10652

A oN

| 2025 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992 |.

. “(when Pitied In)

| ayaa

I understand that no change in my, employment status or relationship with the United .
States. Government will relieve me of my obligation under this Agreement, .. .... ;

| Thave been advised of the procedures to ‘follow in order to determine the id
individuals who have been approved for access to this Project, the current estimate of haza

involved in travel to a foreign area or to resolve any other question | which may arise unde:
this Agreement,

E OF WITN! eee

€
REMARKS |
PHASE

= a .

Po hans
. SOCIAL. SECURITYS”

DATE oF BIRTH.
PLACE OF BIRTH

*The signator should place his initlats after each Project nome.,

vin | SECRET = | 4


